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Analisis faktor keputusan ibu bersalin dalam pemilihan tempat pelayanan persalinan di wilayah kerja Puskesmas Ulee Kareng Kota Banda Aceh Hastuti Syahnita; Sri Rahayu; Defriman Djafri
Jurnal SAGO Gizi dan Kesehatan Vol 2, No 2 (2021): Januari - Juni
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v2i2.663

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Background: Choosing a place of birth is not an easy thing for a mother, because a safe and comfortable place has a positive impact in launching the birth process.Objective: This study analyzes the factors of choosing a delivery service in Ulee Kareng health center area Banda Aceh City.Methods: This research is an analytic type of research using a cross-sectional design. Population The population in this study were all mothers giving birth with normal delivery in the working area of the Ulee Kareng Health Center in 2016 as many as 389 people. Data were collected by interview using a questionnaire. Interviews were conducted directly on the respondents. Data analysis using Chi-square test.Result: The results have shown that the factors related to the choice of place of delivery service are education level (p= 0.007), occupation (p= 0.014), income level (p= 0.000), history of childbirth (p= 0.019), and family support factors. (p= 0.004) and support from health workers (p= 0.007).Conclusion: The choice of place of delivery is influenced by the level of education, occupation, income, birth history, as well as family support and health workers. While the most dominant factor is the level of family income.
Evaluasi Pelaksanaan Program Home Care Lansia pada Situasi New Normal Pandemi Covid-19 di Wilayah Kerja Dinas Kesehatan Kota “S” Sabtria Winda Sari; Defriman Djafri; Agus Sri Banowo
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 1 (2022): Januari 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i1.1626

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Elderly is a group that have high risk on various problem especially during Covid-19 pandemic. It will affect the quality of life among elderly. WHO defines quality of life as an individual’s perception of their position in life in the context of the culture and values systems in which they live and in relation to their goals, expectation, standards and concern. One of health program as an effort to improve the quality of life among elderly during Covid-19 pandemic is home care service. The purpose of this study is to evaluate of implementation of home care program for elderly in new normal era Covid-19 pandemic. The study design used mix method. The research location were in “A” Health Center and “B” Health Center. Based on univariate analysis, 77.1% elderly in both Health Center had low quality of life, and 22.9% elderly in both Health Center had high quality of life. Based on in-depth interview, there are 4 themes: feeling safe and secure, health as priority, home care during Covid-19 pandemic, and obstacle in implementation of home care during Covid-19 pandemic. The author suggests to to long term care training. Keywords: covid-19 pandemic; elderly; home care; quality of life ABSTRAK Lansia merupakan kelompok yang rentan terhadap berbagai masalah terutama saat pandemi Covid-19. Hal ini akan mempengaruhi kualitas hidup lansia. WHO mendefinisikan kualitas hidup sebagai persepsi individu tentang posisi mereka dalam kehidupan dalam konteks budaya dan sistem nilai dimana mereka hidup dan dalam kaitannya denga tujuan, harapan, standar, dan kekhawatiran mereka. Salah satu program kesehatan sebagai upaya untuk meningkatkan kualitas hidup lansia saat pandemi Covid-19 adalah layanan home care. Tujuan penelitian ini adalah untuk mengevaluasi program home care lansia pada situasi new normal pandemi Covid-19. Desain penelitian menggunakan desain mixed method.  Lokasi penelitian adalah Puskesmas “A” dan Puskesmas “B”. Berdasarkan analisa univariat, 77.1% lansia pada kedua Puskesmas memiliki kualitas hidup yang rendah, sedangkan 22.9% lansia pada kedua Puskesmas memiliki kualitas hidup tinggi. Berdasarkan hasil wawancara, terdapat 4 tema, yaitu merasa aman dan terlindungi, kesehatan sebagai prioritas, home care saat pandemi covid-19 dan hambatan pelaksanaan home care saat pandemi covid-19.  Penulis menyarankan untuk melaksanakan pelatihan perawatan jangka panjang.Kata kunci: pandemi covid-19; lansia; home care; kualitas hidup 
Pengaruh Pendidikan Kesehatan Metode Audio Visual terhadap Perilaku Pemeriksaan Inspeksi Visual Asam (IVA), pada Wanita Usia Subur Di Wilayah Puskesmas Bengkulu Tengah Tahun 2020 Warman Alamsyah; Defriman Djafri; Khairul Andri
Jurnal Ilmiah Universitas Batanghari Jambi Vol 20, No 3 (2020): Oktober
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v20i3.1081

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Cervical cancer (cervical) becomes a health problem especially for women of childbearing age who have had sexual intercourse resulting in unnecessary things so that IVA examination is not optimal. the purpose of this study was to determine the effect of audivisual methods of health education on the behavior of the Visual Acid Inspection (IVA), in Fertile Women in the Public health center working area. The design of this study is the Quasy Experiment Pre-post With Control Group. The number of samples is 60 women of childbearing age (WUS) consisting of 30 women of childbearing age (WUS) intervention group and 30 women of childbearing age (WUS) control group. The technique in sampling uses total sampling. Data were analyzed using the Independent Samples T-test. The results showed that there was a significant influence on knowledge (p value = 0.006), attitudes (p value = 0,000) and inspection behavior (p value = 0.004). Conclusion This audiovisual method of health education is effective in improving the knowledge, attitudes and behavioral examination of Visual Acid Inspection (IVA), in Fertile Women. The audiovisual method of health education can be used by the Public health center as an innovation in conveying information, especially for PTM and Posbindu program managers
Meta-Analisis Faktor Risiko Modifiable Penyakit Kardiovaskular di Asia Tenggara Defriman Djafri; Sri Ridha Hasanah
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 2, No 1 (2016): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v2i1.550

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Latar Belakang: Penelitian ini bertujuan untuk mengetahui faktor risiko modifiable penyakit kardiovaskular di Asia Tenggara. Metode: Telaah sistematis dan Meta-analisis dilakukan terhadap penelitian Kohort dan Case-control yang dipublikasikan antara tahun 1980 sampai dengan 2013 pada database PubMed, ProQuest, dan EBSCO. Pooled odds ratio (OR) dihitung dengan fixed- dan random-effect models. Data diolah dengan menggunakan Review Manager 5.2 (RevMan 5.2). Hasil: Penelitian ini mereview sebanyak 6.202 artikel dan memasukkan 18 artikel (8 kohort dan 10 case-control) ke dalam telaah sistematis. Dilanjutkan dengan Meta-Analisis terhadap data yang relevan. Hasil Meta-analisis menunjukkan bahwa tidak ada hubungan yang signifikan antara merokok dengan Penyakit Jantung Koroner (OR 1.38 95% CI 0.81-2.35). Sebaliknya, hasil membuktikan bahwa terdapat hubungan yang signifikan antara obesitas dengan penyakit jantung koroner (OR 1.92 95% CI 1.17-3.16). Kesimpulan: Faktor risiko modifiable penyakit jantung koroner pada populasi di Asia Tenggara adalah obesitas. Masyarakat diharapkan untuk memanajemen obesitas yang mereka miliki atau mencegah agar tidak menjadi obesitas sehingga dapat menurunkan risiko menderita penyakit jantung koroner. 
Determinan Health Literacy pada Ibu Menyusui di RSUD Dr. Zainoel Abidin di Banda Aceh Namira Yusuf; Sri Rahayu Sanusi; Defriman Djafri
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 4, No 1 (2018): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v4i1.652

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Latar Belakang: Capaian pemberian air susu ibu (ASI) eksklusif di Provinsi Aceh pada tahun 2013 adalah 49,6% yang menunjukkan belum mencapai angka yang diharapkan yaitu sebesar 80%. Hal ini berkaitan dengan health literacy yang rendah sehingga berpengaruh buruk pada perilaku kesehatan. Penelitian ini akan mengkaji determinan Health literacy pada ibu menyusui di Ruang Serunee 3 di Rumah Sakit Umum Daerah dr. Zainoel Abidin (RSUDZA) di Banda Aceh. Metode: Penelitian ini merupakan penelitian observasional analitik dengan menggunakan desain cross sectional. Populasi dalam penelitian adalah seluruh ibu post partum di ruang Serune 3 RSUDZA. Jumlah sampel sebanyak 70 orang pengambilan sampel secara accidental sampling. Hasil: Hasil uji statistik tidak ada hubungan usia dengan health literacy (P-value = 0,425), ada pengaruh pendidikan (P-value = 0,029), pekerjaan (P-value = 0,034), pendapatan (P-value = 0,007), wilayah tempat tinggal (p-value= 0,000), peran keluarga (P-value = 0,024), peran petugas kesehatan (P-value = 0,019), informasi dari media (P-value = 0,001) terhadap health litercy pada ibu menyusui. Kesimpulan: Kesimpulan dari penelitian ini pendidikan, wilayah tempat tinggal dan media merupakan faktor yang paling berpengaruh dengan health literacy pada ibu menyusui di Ruang Serunee 3 RSUDZA Banda Aceh.
Effect Modification of Modifiable Cardiovascular Risk Factors : A Hospital-Based Matched Case Control Study Defriman Djafri; Monalisa Monalisa; Fauziah Elytha; Rizanda Machmud
Jurnal Kesehatan Masyarakat Andalas Vol 11, No 2 (2017): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v11i2.280

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This study aims to find the role of modifiable risk faktors toward the association between hypertension and coronary heart disease in RSUP DR. M. Djamil Padang, in 2016This match case control study was conducted from Desember 2014 to April 2015. We studied 171 samples with 1:2 ratio between the case and the control. Samples are collection using simple random sampling by matching the age and sex. Data through the medical record (secondary data) in RSUP DR. M. Djamil. Bivariate analysis showed that hypertension had OR=16,04 (95%CI 5.705-45.12), obesitas had OR=2.53 (95%CI 1.321-4.844), and hyperusrisemia had OR 2.41 (95%CI 1.292-4.516. Multivariate modeling showed that hyperurisemia had a confounder between assosiated hypertension and Coronary heart disease. Multivariate modeling showed hypertension had the highest risk to coronary heart disease. Obesity and hyperurisemia were associated between hypertension and coronary heart disease. Hypertension were considered as determinant of coronary heart disease. People are expected to manage their blood pressure to decrease the risk of coronary heart disease.
SURVIVAL ANALYSIS GANGGUAN PERNAPASAN DENGAN TINGKAT PAJANAN PENCEMARAN UDARA DI DKI JAKARTA (STUDI COHORT PADA MURID SEKOLAH DASAR) Defriman Djafri
Jurnal Kesehatan Masyarakat Andalas Vol 2, No 1 (2007): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v2i1.20

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Level of health risk generated by air pollution material to public especially at school children and existence of impact to respiratory symptom. Purpose of this research was wished to know the relationship of respiratory symptom at elementary school with level of air pollution exposure in DKI Jakarta. Prospective cohort was conducted during 3 month of be noted the happening of respiratory illness at the time period. Data is analyzed to apply statistical methods Survival Analysis in STATA 9.2 (license). Result of research it is got that existence of the relationship of respiratory symptom with level of air pollution exposure, From 4 respiratory symptom taken analyzed and in this research, incidence rate at each symptom is got by higher case at region high exposure compared to region low exposure. Conclusion is got approximant 50% base school children experiences case of respiratory symptom based on result of case probability everyone of respiratory symptom observation.
PRINSIP DAN METODE ANALISIS RISIKO KESEHATAN LINGKUNGAN Defriman Djafri
Jurnal Kesehatan Masyarakat Andalas Vol 8, No 2 (2014): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v8i2.133

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Analisis risiko kesehatan lingkungan merupakan penilaian atau penaksiran risiko kesehatan yang bisa terjadi di suatu waktu pada populasi manusia berisiko. Kajian prediktif ini menghasilkan karakteristik risiko secara kuantitatif, pilihan-pilihan manajemen risiko dan strategi komunikasi untuk meminimalkan risiko tersebut. Data kualitas lingkungan yang bersifat agent specific dan site specific, karakteristik antropometri dan pola aktivitas populasi terpajan dibutuhkan untuk kajian ini.
PEMODELAN EPIDEMIOLOGI PENYAKIT MENULAR Defriman Djafri
Jurnal Kesehatan Masyarakat Andalas Vol 10, No 1 (2015): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v10i1.172

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Pemodelan epidemiologi merupakan salah satu bentuk yang dapat menjelaskan fenomena apa yang terjadi dilapangan, dan akan membuat langkah-langkah didalam penganggulangan dan pengendalian penyakit. Ukuran epidemiologi didalam pemodelan merupakan indikator penting untuk pengambilan keputusan didalam menetapkan langkah-langkah pencegahan dan penanggulangan penyakit (evidenve based). Metodologi ilmiah menjadi penting didalam membangun kerangka penelitian kesehatan, baik penegakan diagnosis, maupun langkah-langkah penanggulangan dan pemberantasan penyakit.
Peningkatan Kompetensi Pendidikan Kesehatan Masyarakat Melalui Penguatan Peran Institusi Pendidikan Kesehatan Masyarakat Defriman Djafri
Jurnal Kesehatan Masyarakat Andalas Vol 8, No 2 (2014): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v8i2.125

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Pendidikan kesehatan masyarakat pada saat ini sangat berkembang pesat dikarenakan kebutuhan akan sumber daya kesehatan dalam meningkatkan derajat kesehatan masyarakat. Kompetensi pendidikan kesehatan masyarakat sangat penting untuk menghasilkan lulusan yang bermutu dan profesional. Institusi pendidikan kesehatan masyarakat merupakan wadah di dalam menyusun dan merumusan kompetensi sarjana kesehatan masyarakat. Peran institusi sangat penting dalam meningkatkan kompetensi  pendidikan kesehatan masyarakat.